¿Cuál de los dos puede inducir al otro?

En entornos médicos, la correlación entre los estrógenos, es decir, las hormonas sexuales femeninas y los Accidentes Cerebrovasculares (ACV) son temas que se discuten con mucha frecuencia; sin embargo, los estudios no se han terminado y solo hay estadísticas y una noción general que puede proporcionar una perspectiva muy general de la situación.

Aunque los factores de riesgo de sufrir una hemorragia cerebral son en gran medida similares para hombres y mujeres, como explica el fisioterapeuta italiano Dr.  Valerio Sarmati ; las mujeres son realmente las que poseen algunas variables adicionales que las llevan a tener una probabilidad ligeramente mayor de sufrirlas a lo largo de sus vidas.

El hecho de que las mujeres sean más susceptibles que los hombres se debe básicamente a factores hormonales, ya que son relevantes en todas las etapas de sus vidas.

En el caso del sexo femenino, la apoplejía es la tercera causa de muerte, mientras que en los hombres es la quinta causa de muerte.

Además, las mujeres tienden a tener una recuperación más pobre y también secuelas más profundas después del ACV que el sexo masculino, destacando al especialista en Rehabilitación Neurocognitiva según el método de Perfetti, cuyos pacientes que han sufrido un “derrame cerebral” son en su mayoría mujeres.

¿Los estrógenos protegen contra los trastornos cardiovasculares?

Parece que de una forma u otra las hormonas sexuales femeninas afectan la composición de la superficie de los glóbulos blancos, que en el período justo antes de la menopausia tienen niveles más altos de una proteína importante para el ciclo menstrual, la anexina A1 (ANXA1 ).

Esta proteína impedirá la acumulación de sustancias en las paredes de los vasos sanguíneos, reduciendo así los riesgos de trombosis y un eventual accidente cerebrovascular.

The production of estrogens diminishes with time and significantly during the time of the menopause, when the menstrual cycle step by step, passes from an oligomenorrhea condition to an amenorrhea one, that is to say, the total disappearance of the menstruation.

If the absence of the menstruation lasts at least a year, it is called menopause, which happens to women at the end of their fertile age when

they are 50 years old in average.

The resulting hormonal interruption can cause rather annoying symptoms now well known to all women, who fearing them, do anything possible to mitigate them using pharmacological or phytotherapeutic attention (It is the use of vegetal origin products for the prevention, cure, or relief of an ample variety of symptoms, and illnesses. They are part of the so called natural therapies).

Suffocating feelings, irritability, loss of libido, palpitations, perspiration, weight gain, and sleeping disorders: the most unfortunate ones can suffer all these symptoms more or less accentuated, but there also others who do not show any evident disorder.   

How does the HRT affect the cardiovascular health?

Until recently, it was believed that the hormonal replacement therapy (HRT), during the symptomatic period of the menopause, from 1 to 5 years, could continue protecting women from the risk of a cerebrovascular accident in at least 50% of the cases, but most recent studies seem to disillusion the expectations.

The therapy can be administered orally or vaginally, but in any case, the American study from the  WHI (Women’s Health Initiative), done for some consecutive years, seems to outline that out of 1000 patients who underwent the treatment during a year, 0,7 more women suffered a stroke that those who will have gotten sick, it they had not undergone the HRT, and an Italian study done in parallel resulted in an increase in apoplexy cases in 21 to 29 in 10000 patients, without considering other secondary effects related to other cardiovascular illnesses, thrombophilia and any hepatic illness.

Therefore, any person who decides to undergo a hormonal replacement therapy, should be advised about the consequences and the secondary effects, and obviously it should be analyzed by the treating Doctors.

What do those women who do not want to undergo through a HRT do?

The advice to women who are afraid of the hormonal therapy is known from some time back; the prevention methods for the cardiovascular illnesses that should be taken into consideration are the same that should be taken into consideration by men, who generally are more abiding than women in fertile age: perform a physical activity, improve the circulation and keep in shape is without a doubt in first place, followed by a healthy and well balanced diet, free from excesses, grease, alcohol, and the elimination of the cigarettes.

This is because, that independently of the HRT, the risk of a cardiovascular illness increases and unfortunately, at least 54, 5% of the women do not know it.

There are also others who proposed the hypothesis that on the contrary the cerebrovascular accident could provoke a premature menopause, but up to date, there are not any specific studies, therefore, there is not enough data to uphold the hypothesis.

Keywords / Labels: stroke, cerebrovascular accident , cva, ladies, women, men, menopause, estrogens, Valerio Sarmati, physiotherapist, rehabilitation, neurocognitive, Perfetti, Perfetti method , hormones,  feminine, cerebral hemorrhage, thrombus, recovery, prevention, hrt, health, welfare, diet, apoplexy, cardiovascular, hormonal therapy, diet, menstruation, sex, women, apoplexy, medical advice, illness, stroke therapy revolution, therapy, illnesses, Doctor, cardiovascular illnesses.

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http://www.valeriosarmati.es/

https://www.stroke-therapy-revolution.com/author/vsarmati

https://www.stroke-therapy-revolution.com/who-is-valerio-sarmati/